VARCAROLIS, PSYCHIATRIC NURSING: EXAM 1
APPLICATION QUESTIONS AND VERIFIED
DETAILED ANSWERS
Which disadvantage is inherent to the problem-oriented charting system
(SOAPIE)?
a. Does not support a universal organizational system
b. Commonly allows for the inclusion of subjective information
c. Documentation is not listed in chronological order
d. Does not support the nursing process as a format
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-c
Which standardized rating scale will the nurse specifically include in the
assessment of a newly admitted patient diagnosed with major depressive
disorder?
a. Mini-Mental State Examination (MMSE)
b. Body Attitude Test
,c. Global Assessment of Functioning Scale (GAF)
d. Beck Inventory
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-d
A 13-year-old boy is undergoing a mental health assessment. The nurse
practitioner assures him that his medical records are protected and private.
The nurse recognizes that this promise cannot be kept when the youth
divulges:
a. "I lost my virginity last year."
b. "I am angry with my parents most of the time."
c. "I have thoughts of being in love with boys."
d. "My parents do not know that I hit my grandpa."
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-d
,During an interview with a non-English-speaking middle-aged woman
recently diagnosed with major depression, the patient's husband states, "She
is happy now and doing very well." The patient, however, sits motionless,
looking at the floor, and wringing her hands. A professional interpreter would
provide better information due to the fact that a family member in the
interpreter role may: Select all that apply.
a. Be too close to accurately capture the meaning of the patient's mood.
b. Censor the patient's thoughts or words.
c. Avoid interpretation.
d. Leave out unsavory details
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-b
A nurse identified a nursing diagnosis of self-mutilation for a female
diagnosed with borderline personality disorder. The patient has multiple self-
, inflicted cuts on her forearms and inner thighs. What is the most important
patient outcome for this nursing diagnosis?
a. Identify triggers to self-mutilation
b. Demonstrate a decrease in frequency and intensity of cutting
c. Describe strategies in increase socialization on the unit
d. Describe two strategies to increase self-care
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-a
Medical records are considered legal documents. Proper documentation needs
to reflect patient condition along with changes. It should also be based on
professional standards designated by the state board of nursing, regulatory
agencies, and reimbursement requirements. Proper documentation can be
enhanced by:
APPLICATION QUESTIONS AND VERIFIED
DETAILED ANSWERS
Which disadvantage is inherent to the problem-oriented charting system
(SOAPIE)?
a. Does not support a universal organizational system
b. Commonly allows for the inclusion of subjective information
c. Documentation is not listed in chronological order
d. Does not support the nursing process as a format
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-c
Which standardized rating scale will the nurse specifically include in the
assessment of a newly admitted patient diagnosed with major depressive
disorder?
a. Mini-Mental State Examination (MMSE)
b. Body Attitude Test
,c. Global Assessment of Functioning Scale (GAF)
d. Beck Inventory
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-d
A 13-year-old boy is undergoing a mental health assessment. The nurse
practitioner assures him that his medical records are protected and private.
The nurse recognizes that this promise cannot be kept when the youth
divulges:
a. "I lost my virginity last year."
b. "I am angry with my parents most of the time."
c. "I have thoughts of being in love with boys."
d. "My parents do not know that I hit my grandpa."
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-d
,During an interview with a non-English-speaking middle-aged woman
recently diagnosed with major depression, the patient's husband states, "She
is happy now and doing very well." The patient, however, sits motionless,
looking at the floor, and wringing her hands. A professional interpreter would
provide better information due to the fact that a family member in the
interpreter role may: Select all that apply.
a. Be too close to accurately capture the meaning of the patient's mood.
b. Censor the patient's thoughts or words.
c. Avoid interpretation.
d. Leave out unsavory details
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-b
A nurse identified a nursing diagnosis of self-mutilation for a female
diagnosed with borderline personality disorder. The patient has multiple self-
, inflicted cuts on her forearms and inner thighs. What is the most important
patient outcome for this nursing diagnosis?
a. Identify triggers to self-mutilation
b. Demonstrate a decrease in frequency and intensity of cutting
c. Describe strategies in increase socialization on the unit
d. Describe two strategies to increase self-care
(Halter 122)
Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health
Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file.
The citation provided is a guideline. Please check each citation for accuracy
before use. -Answer:-a
Medical records are considered legal documents. Proper documentation needs
to reflect patient condition along with changes. It should also be based on
professional standards designated by the state board of nursing, regulatory
agencies, and reimbursement requirements. Proper documentation can be
enhanced by:
